Objectives

Aggression is a substantial behavioral problem in children and adolescents. There has been an increasing amount of research investigating the effectiveness of mindfulness-based intervention (MBI) in reducing levels of aggression. The purpose of this review was to examine how effective mindfulness is in curbing aggressive behaviors in children and adolescents.

Methods

Studies were identified through searching four electronic databases (PsycINFO, CINAHL, MEDLINE, and Web of Science) with combinations of three groups of keywords supplemented with a manual search. Two independent researchers screened the searched papers, extracted data from papers, and assessed the quality of the studies. The extracted data was synthesized narratively and quantitatively.

Results

Eighteen studies (n = 1223) met the inclusion criteria. Three of the studies were controlled trials, seven were quasi-experimental studies, and an additional eight were single-subject design studies. Except for three studies that had unclear methodological quality, the remaining studies showed adequate research quality. Key findings highlighted evidence supporting the effectiveness of the use of MBI in children and adolescents with aggressive behavior problems. The meta-analytical results indicated that the overall effect size of MBI on aggressiveness is moderate (g = 0.48, CI₉₅ [0.33, 0.63], p < 0.001). Furthermore, sub-group analysis estimated different effect sizes for clinical samples (g = 0.59, CI₉₅ [0.23, 0.95], p = 0.001) and non-clinical samples (g = 0.45, CI₉₅ [0.29, 0.62], p < 0.001).

Conclusions

The effectiveness of MBI on child and adolescent aggressive behavior was supported. Compared with non-clinical samples, MBI showed higher effectiveness for clinical samples. Potential mechanisms, methodological strengths and weaknesses, implications, and suggestions for future study are discussed.

中文翻译：

---

基于正念的干预对儿童和青少年侵略的影响：系统评价和荟萃分析

目标

侵略是儿童和青少年的重大行为问题。越来越多的研究调查以正念为基础的干预措施（MBI）在降低侵略程度方面的有效性。这篇综述的目的是检验正念在遏制儿童和青少年的攻击行为方面有多有效。

方法

通过搜索四个电子数据库（PsycINFO，CINAHL，MEDLINE和Web of Science），并结合三组关键字的组合以及手动搜索，可以识别研究。两名独立的研究人员筛选了搜索的论文，从论文中提取了数据，并评估了研究质量。提取的数据是叙事和定量合成的。

结果

十八项研究（n  = 1223）符合纳入标准。其中三项研究为对照试验，七项为准实验研究，另外八项为单受试者设计研究。除了三项方法学质量不清楚的研究外，其余研究均显示出足够的研究质量。关键发现强调了支持MBI在有攻击性行为问题的儿童和青少年中有效的证据。荟萃分析结果表明，MBI对攻击性的总体影响大小适中（g  = 0.48，CI ₉₅ [0.33，0.63]，p  <0.001）。此外，亚组分析估计了临床样品的不同效应大小（g  = 0.59，CI₉₅ [0.23，0.95]，p  = 0.001）和非临床样品（g  = 0.45，CI ₉₅ [0.29，0.62]，p  <0.001）。

结论

支持了MBI对儿童和青少年攻击行为的有效性。与非临床样品相比，MBI对临床样品显示出更高的有效性。讨论了潜在的机制，方法的优点和缺点，影响和对未来研究的建议。